1. Doctor patient relationship

2. Doctor patient relationship
Matrix within which medical care is maintained.
dyadic interaction between physician and patient in which roles and responsibilities are exchanged.
Psychological substrate is one of the important factors in this dyad that bond patient and healer.

3. Doctor patient relationship
Consultation Behavior factors Cultural factors Experience Physical handicap Mental illness Personality Social factors

4. Doctor patient relationship
The sick role and illness behavior
Sick role is behavior expected by the society on patient when ill including
seeking doctor for help
stopping work
exemption of responsibilities
compliance with treatment.

5. Doctor patient relationship
The sick role and illness behavior
Illness behavior is the behavior actually practiced and believed with by the patient when ill again seeking help , exemption, compliance …etc.
Same parameters but from different perspective
N/B Culture

6. Doctor patient relationship
components of doctor patient relationship
Trust
Warmth
Hope
Empathy vs sympathy
Communication

7. Doctor patient relationship
models of doctor patient relationship
activity passivity model
guidance cooperation model
mutual interaction model
N/B cultural variation

8. Doctor patient relationship
compliance with treatment
factors favoring better treatment compliance
doctor patient relationship good effective
Illness acute
Consultation
short time in waiting room , simple treatment schedule , written diagnoses and treatment plan , benefit outweigh financial And time costs
Life style only one behavior change requested ,activities not much interrupted
Social support

9. Doctor patient relationship
Difficult situations
angry patient
seductive patient
suicidal patient assess
excessively complaining patient

10. Doctor patient relationship
transference and counter transference
Transference : patient my feel his doctor unrealistically loving or punitive or all powerful these should not influence treatment plan and may need clear discussion and interpretation
Counter transference doctor may feel erotically aroused toward patient or may show over criticism. If doctor is not able to control referral may be decided